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    Lipedema: A Relatively Common Disease with Extremely Common Misconceptions

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    Author
    Buck, Donald W.
    Herbst, Karen L.
    Affiliation
    Univ Arizona, Dept Med, Banner Univ Med Ctr
    Issue Date
    2016-09
    
    Metadata
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    Publisher
    LIPPINCOTT WILLIAMS & WILKINS
    Citation
    Lipedema 2016, 4 (9):e1043 Plastic and Reconstructive Surgery - Global Open
    Journal
    Plastic and Reconstructive Surgery - Global Open
    Rights
    Copyright © 2016 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Society of Plastic Surgeons. All rights reserved.
    Collection Information
    This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.
    Abstract
    Lipedema, or adiposis dolorosa, is a common adipose tissue disorder that is believed to affect nearly 11% of adult women worldwide. It is characterized most commonly by disproportionate adipocyte hypertrophy of the lower extremities, significant tenderness to palpation, and a failure to respond to extreme weight loss modalities. Women with lipedema report a rapid growth of the lipedema subcutaneous adipose tissue in the setting of stress, surgery, and/or hormonal changes. Women with later stages of lipedema have a classic "column leg" appearance, with masses of nodular fat, easy bruising, and pain. Despite this relatively common disease, there are few physicians who are aware of it. As a result, patients are often misdiagnosed with lifestyle-induced obesity, and/or lymphedema, and subjected to unnecessary medical interventions and fat-shaming. Diagnosis is largely clinical and based on criteria initially established in 1951. Treatment of lipedema is effective and includes lymphatic support, such as complete decongestive therapy, and specialized suction lipectomy to spare injury to lymphatic channels and remove the diseased lipedema fat. With an incidence that may affect nearly 1 in 9 adult women, it is important to generate appropriate awareness, conduct additional research, and identify better diagnostic and treatment modalities for lipedema so these women can obtain the care that they need and deserve.
    Note
    Open access journal.
    ISSN
    2169-7574
    PubMed ID
    27757353
    DOI
    10.1097/GOX.0000000000001043
    Version
    Final published version
    Additional Links
    http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:landingpage&an=01720096-201609000-00012
    ae974a485f413a2113503eed53cd6c53
    10.1097/GOX.0000000000001043
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    UA Faculty Publications

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